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[肺癌患者肾上腺素给药后激素和肿瘤标志物水平的动态变化]

[The dynamics of the hormonal and tumor marker levels in response to adrenaline administration in lung cancer patients].

作者信息

Khudoleĭ V N, Velichko S A

出版信息

Vopr Onkol. 1992;38(10):1209-17.

PMID:1343147
Abstract

CIA, ferritin, ACTH, cortisol, TTH, T3, T4, insulin, CT and PTH levels were assayed radioimmunologically in the blood serum of 227 patients with lung cancer, stages I-IV, 134 cases of chronic nonspecific diseases of the lung, 28 patients with benign tumors of the lung and 30 healthy subjects. Adrenaline tests were carried out in 160 of them. Similar shifts were observed in hormone profile in both cancer and non-cancer patients. The predictive value of the hormone tests for stage I-II cancer appeared higher than in those for CIA and ferritin. However, the diagnostic value of a single test of marker proved insufficient for its practical use. Adrenaline tests identify fine disturbances in endocrine regulation and considerably raise the predictive value of such indicators as ACTH, insulin, TTH, T3, T4 and calcitonin. To assure high effectiveness of the use of basic radioimmunological data, a combination of indexes should be prepared for each case, and it should include, apart from basic levels of markers, their post-test values and indexes of reactivity.

摘要

对227例I - IV期肺癌患者、134例慢性非特异性肺部疾病患者、28例肺良性肿瘤患者及30名健康受试者的血清进行放射免疫分析,检测其中的促肾上腺皮质激素释放激素(CIA)、铁蛋白、促肾上腺皮质激素(ACTH)、皮质醇、促甲状腺激素(TTH)、三碘甲状腺原氨酸(T3)、甲状腺素(T4)、胰岛素、降钙素(CT)和甲状旁腺激素(PTH)水平。对其中160人进行了肾上腺素试验。癌症患者和非癌症患者的激素谱均出现了类似变化。激素检测对I - II期癌症的预测价值似乎高于对促肾上腺皮质激素释放激素和铁蛋白的预测价值。然而,单一标志物检测的诊断价值在实际应用中证明不足。肾上腺素试验可识别内分泌调节中的细微紊乱,并显著提高促肾上腺皮质激素、胰岛素、促甲状腺激素、三碘甲状腺原氨酸、甲状腺素和降钙素等指标的预测价值。为确保基本放射免疫数据使用的高效性,应为每个病例准备指标组合,除标志物的基础水平外,还应包括检测后值和反应性指标。

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